Back to Search
Start Over
Determinants of non attendance to mammography program in a region with high voluntary health insurance coverage
- Source :
- BMC Public Health, BMC Public Health, Vol 8, Iss 1, p 387 (2008)
- Publication Year :
- 2008
-
Abstract
- Background High participation rates are needed to ensure that breast cancer screening programs effectively reduce mortality. We identified the determinants of non-participation in a public breast cancer screening program. Methods In this case-control study, 274 women aged 50 to 64 years included in a population-based mammography screening program were personally interviewed. Socio-demographic characteristics, health beliefs, health service utilization, insurance coverage, prior mammography and other preventive activities were examined. Results Of the 192 cases and 194 controls contacted, 101 and 173, respectively, were subsequently interviewed. Factors related to non-participation in the breast cancer screening program included higher education (odds ratio [OR] = 5.28; 95% confidence interval [CI95%] = 1.57–17.68), annual dental checks-ups (OR = 1.81; CI95%1.08–3.03), prior mammography at a private health center (OR = 7.27; CI95% 3.97–13.32), gynecologist recommendation of mammography (OR = 2.2; CI95%1.3–3.8), number of visits to a gynecologist (median visits by cases = 1.2, versus controls = 0.92, P = 0.001), and supplemental private insurance (OR = 5.62; CI95% = 3.28–9.6). Among women who had not received a prior mammogram or who had done so at a public center, perceived barriers were the main factors related to non-participation. Among women who had previously received mammograms at a private center, supplemental private health insurance also influenced non-participation. Benign breast symptoms increased the likelihood of participation. Conclusion Our data indicate that factors related to the type of insurance coverage (such as prior mammography at a private health center and supplemental private insurance) influenced non-participation in the screening program.
- Subjects :
- medicine.medical_specialty
humanos
estudios de casos y controles
cribado sistemático
neoplasias de la mama
Breast Neoplasms
Non attendance
Insurance Coverage
Interviews as Topic
Breast cancer screening
análisis de regresión
Environmental health
entrevistas como asunto
Epidemiology
medicine
Health insurance
Mammography
Humans
Mass Screening
skin and connective tissue diseases
mediana edad
Aged
anciano
Insurance, Health
medicine.diagnostic_test
business.industry
lcsh:Public aspects of medicine
Public health
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
Middle Aged
Patient Acceptance of Health Care
Family medicine
Case-Control Studies
Regression Analysis
Female
mamografía
Biostatistics
business
Research Article
Subjects
Details
- ISSN :
- 14712458
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- BMC public health
- Accession number :
- edsair.doi.dedup.....ef96fe5766dcdee69397062b88eb910f